Koes B W, Bouter L M, van Mameren H, Essers A H, Verstegen G M, Hofhuizen D M, Houben J P, Knipschild P G
Department of Epidemiology and Health Care Research, University of Limburg, The Netherlands.
J Manipulative Physiol Ther. 1992 Jan;15(1):16-23.
In a blinded randomized clinical trial, we compared the effectiveness of manual therapy, physiotherapy, (continued) treatment by the general practitioner (GP), and a placebo therapy (detuned ultrasound and detuned short wave diathermy) for patients (n = 256) with chronic nonspecific back and neck complaints. The physical outcome measures (spinal mobility and physical functioning) are presented for 3, 6 and 12 wk follow-up. Manual therapy showed a faster and larger improvement in physical functioning compared to the other three therapies. The changes in spinal mobility among the four study groups appear to be small and show no consistent pattern.
在一项双盲随机临床试验中，我们比较了手法治疗、物理治疗、全科医生（GP）治疗以及安慰剂治疗（失谐超声和失谐短波透热疗法）对256例患有慢性非特异性颈背痛患者的疗效。给出了3周、6周和12周随访时的身体结局指标（脊柱活动度和身体功能）。与其他三种治疗相比，手法治疗在身体功能方面显示出更快且更大的改善。四个研究组之间脊柱活动度的变化似乎较小，且未呈现出一致的模式。
